New Hampshire Chapter 420-J — Managed Care Law

52 sections hosted, reproduced from the official public-domain source.

N.H. Rev. Stat. Ann. § 420-J:1— Purpose and Intent
N.H. Rev. Stat. Ann. § 420-J:2— Applicability and Scope
N.H. Rev. Stat. Ann. § 420-J:3— Definitions
N.H. Rev. Stat. Ann. § 420-J:3-a— Access to Enhanced 911 System
N.H. Rev. Stat. Ann. § 420-J:3-b— Pre-certification Requirement
N.H. Rev. Stat. Ann. § 420-J:4— Credentialing Verification Procedures
N.H. Rev. Stat. Ann. § 420-J:4-a— Facility Credentialing
N.H. Rev. Stat. Ann. § 420-J:5— Grievance Procedures
N.H. Rev. Stat. Ann. § 420-J:5-a— Right to External Review
N.H. Rev. Stat. Ann. § 420-J:5-b— Standard External Review
N.H. Rev. Stat. Ann. § 420-J:5-c— Expedited External Review
N.H. Rev. Stat. Ann. § 420-J:5-d— Certification of Independent Review Organizations
N.H. Rev. Stat. Ann. § 420-J:5-e— General Provisions Regarding External Review
N.H. Rev. Stat. Ann. § 420-J:6— Utilization Review
N.H. Rev. Stat. Ann. § 420-J:6-a— Obstetrical-Gynecological Coverage
N.H. Rev. Stat. Ann. § 420-J:6-b— Self-Referrals for Chiropractic Care
N.H. Rev. Stat. Ann. § 420-J:6-c— Third-Party Payment of Covered, Court-Ordered Services
N.H. Rev. Stat. Ann. § 420-J:6-d— Coverage for Dependents
N.H. Rev. Stat. Ann. § 420-J:6-e— Coverage for Medically Necessary Dental Services
N.H. Rev. Stat. Ann. § 420-J:7— Network Adequacy
N.H. Rev. Stat. Ann. § 420-J:7-a— Repealed by 2007, 33:2, eff. July 13, 2007
N.H. Rev. Stat. Ann. § 420-J:7-b— Prescription Drugs
N.H. Rev. Stat. Ann. § 420-J:7-c— Disqualification of Certain Physicians Prohibited
N.H. Rev. Stat. Ann. § 420-J:7-d— Continued Access to Care Subsequent to a Provider Contract Termination
N.H. Rev. Stat. Ann. § 420-J:7-e— Notice of Consumer Rights
N.H. Rev. Stat. Ann. § 420-J:8— Provider Contract Standards
N.H. Rev. Stat. Ann. § 420-J:8-a— Prompt Payment Required
N.H. Rev. Stat. Ann. § 420-J:8-b— Retroactive Denials Prohibited; Exceptions
N.H. Rev. Stat. Ann. § 420-J:8-c— Reimbursement for Providers Waiting for Health Carrier Credentialing Verification
N.H. Rev. Stat. Ann. § 420-J:8-d— Dependent Coverage
N.H. Rev. Stat. Ann. § 420-J:8-e— Determining the Fair Value of Certain Health Care Items or Services Provided by Nonparticipating Providers
N.H. Rev. Stat. Ann. § 420-J:8-f— Non-Covered Dental Services
N.H. Rev. Stat. Ann. § 420-J:8-g— Coverage and Payment for Emergency Services Provided by Nonparticipating Providers or Nonparticipating Emergency Facilities
N.H. Rev. Stat. Ann. § 420-J:8-h— Coverage and Payment for Services Provided at Participating Facilities by Nonparticipating Providers
N.H. Rev. Stat. Ann. § 420-J:9— Quality Assessment, Quality Improvement, and Reporting
N.H. Rev. Stat. Ann. § 420-J:10— Confidentiality of Insurer Records
N.H. Rev. Stat. Ann. § 420-J:11— Confidentiality of Insurance Department Records
N.H. Rev. Stat. Ann. § 420-J:12— Rulemaking Authority
N.H. Rev. Stat. Ann. § 420-J:13— Severability
N.H. Rev. Stat. Ann. § 420-J:14— Penalties
N.H. Rev. Stat. Ann. § 420-J:15— Definitions
N.H. Rev. Stat. Ann. § 420-J:16— Levels of Care Criteria; Attestation
N.H. Rev. Stat. Ann. § 420-J:17— Prior Authorization
N.H. Rev. Stat. Ann. § 420-J:18— Authorization for Medication-Assisted Treatment
N.H. Rev. Stat. Ann. § 420-J:19— Medication Synchronization
N.H. Rev. Stat. Ann. § 420-J:20— Definitions
N.H. Rev. Stat. Ann. § 420-J:21— Rate Schedule Established for Certain Ground Ambulance Providers
N.H. Rev. Stat. Ann. § 420-J:22— Rate Schedule Established for Nonparticipating Ground Ambulance Providers
N.H. Rev. Stat. Ann. § 420-J:23— Standardized Ground Ambulance Provider Contract
N.H. Rev. Stat. Ann. § 420-J:24— Contract Negations between Ambulance Providers and Health Carriers
N.H. Rev. Stat. Ann. § 420-J:25— Temporary Maintenance of a Registry of Providers Who Qualify as an Enrolling Ground Ambulance Provider
N.H. Rev. Stat. Ann. § 420-J:26— Requiring an Independent Study by an Accounting and Actuarial Expert of Ground Ambulance Costs in the State and the Establishment of a Cost-Based Reimbursement Schedule for Participating Ground Ambulance Service Providers